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Navy S Marine Corps Medical News 
MEDNEWS #03-02 
Jan. 16, 2003 

Fleet Hospital 20 Packs Its Tents 

http : //navymedicine . . cfm?iss=95Sart=01 
Navy Docs Lift Off on Today's Shuttle Flight 

http : //navymedicine . . cfm?iss=95Sart=02 
Bremerton A Best Base for Community Spirit and Support 

http : //navymedicine . . cfm?iss=95Sart=03 
Bethesda to Open Open Access Branch Clinic 

http : //navymedicine . . cfm?iss=95&art=04 
Camp Lejeune Cuts Ribbon on Renovated OB/Gyn Clinic 

http : //navymedicine . med . navy . mil /mednews . cfm?iss=95Sart=05 
Whiting Field Tobacco Video A DoD Competitor 

http : //navymedicine . med . navy . mil /mednews . cfm?iss=95Sart=06 
Any Day In Navy Medicine 

http : //navymedicine . med . navy . mil /mednews . cfm?iss=95Sart=07 
First Person: It. Heidi Waugus, Medical Service Corps 

http : //navymedicine . med . navy . mil /mednews . cfm?iss=95Sart=08 
New Web-Based Credentialing Monitors Provider Readiness 

http : //navymedicine . med . navy . mil /mednews . cfm?iss=95Sart=09 
Healthwatch: What To Do For Stomach Flu 

http : //navymedicine . med . navy . mil /mednews . cfm?iss=95Sart=l 


Fleet Hospital 20 Packs Its Tents 

BY JOC Bill Austin, Navy Hospital Support Office 

Jacksonville, Fla. 

GUANTANAMO BAY, Cuba - The Sailors of Fleet 
Hospital 20 are heading home. 

After nearly a year of providing medical treatment 
to suspected Taliban and al Qaeda detainees being held 
in Guantanamo, the medical providers and support staff 
of the deployed hospital unit are packing their seabags 
and their tents and heading north, most to Camp Lejeune, 
N.C., but some from other Navy Medicine facilities as 

well . 

Last January, this remote, almost serene, duty 
station was tasked with building a detention facility to 
house captured combatants from Afghanistan. A Joint 
Task Force was quickly put together to handle this 
massive effort . The end result was the now famous Camp 

Along with the camp came the need for medical and 
health support for the detainees. Enter Fleet Hospital 

Working in the hot Cuban sun, Sailors rolled up 
their sleeves, and cleared the sagebrush to set up a 
series of connecting tents that would serve as their 
field hospital. Inside, they were filled with all the 
necessary gadgetry to handle any medical situation. 

Just eight days after they started clearing land, 
the health providers saw their first detainee for 
treatment - the same quality treatment that service 
members and their families receive throughout the world. 

The Fleet Hospital became a media focal point . 
Twice a week the press arrived to see firsthand how the 
detainees fared under the skillful hands of the medical 
team. Military officials and members of Congress 

As months of day and night shifts took care of 
patients inside the tents, the field just beyond the 
barbed wire compound was changing fast . Construction 
was underway for a new detention facility and hospital 
that would eventually replace Camp X-Ray as well as the 
tents of Fleet Hospital 20. 

The new detention hospital lies within the same 
barbed wire compound and is an impressive structure that 
looks like any other military hospital. The only 
exception is here there are the watchful eyes of Army 
guards . 

Since December, reliefs have been arriving to 
replace members of Fleet Hospital 20 - fresh faces 
energized and ready for the task at hand. 

"I've been here two days and I love it, " said 
Hospitalman Robert Harper, who flew in for a six-month 
hitch from Bethesda, Md. Harper has been working on the 
ward where some of his duties include administering 
medication to the detainee patients . 

The departing group is upbeat . Many expressed 
pride in playing a vital role in this historic event. 

"I think it ' s neat there are a lot of young people 
here that just came in the Navy, and we can come here 
and do this, " said Hospital Corpsman 3rd Class Monica 
Vanderlois, who will head back to Camp Lejeune this 
week. "I feel very proud. " 

"As I see the current staff of the Fleet Hospital 
transferring out, and the transition of them teaching 
the new who are arriving on this mission, it ' s truly an 
amazing thing, " said Chief Hospital Corpsman Marvin 

Kitchens, who serves as the hospital ' s senior Enlisted 
Advisor. "(They) do a phenomenal job and do the right 
thing for something that has never been done before in 
Navy Medicine . " 

One new face has been here before . Lt . Cambrai 
Reed, Nurse Corps, an original member of the Fleet 
Hospital 20 team, volunteered to come back for a second 
tour. The changes took her by surprise . 

"I can't believe how different everything looks, " 
said Reed as she walked through the new hospital . 

The Fleet Hospital 20 Sailor with the most time 
under the tents is officer-in-charge Cmdr. Jaime 
Carroll, Nurse Corps. She's been here since the land 
was cleared in January 2002, but she's finally packing 
her seabags, too. She's going home to Naval Hospital 
Camp Lejeune. 

"The credit for the success of Fleet Hospital 20 
goes to all the people who have come here since the very 
beginning, " said Carroll . "Every single individual who 
has been here, working with the team, and being 
committed to this mission . " 


Navy Docs Lift Off on Today's Shuttle Flight 
By Brian Badura, Bureau of Medicine and Surgery 

WASHINGTON - Navy Medicine's Capt. Dave Brown, 
Medical Corps, and Cmdr. Laurel Salton Clark, Medical 
Corps, lifted off this morning on shuttle mission STS- 

Their mission as part of a seven member crew aboard 
the shuttle orbiter Columbia will pack more than 90 
medical, biological and physical science experiments and 
investigations into a 16-day flight. 

Fifteen experiments will look at the effects of 
weightlessness on the human body, including bone and 
muscle loss. Tests will also assess the use of 
different methods of fire suppression in space. 

"We will work the payloads on orbit and hand them 
back to the primary researcher after the mission, 
hopefully passing on the information that they were 
looking for, " Clark said. 

In addition to being an astronaut, Clark is a 
flight surgeon, radiation health officer and undersea 
medicine officer. 

To meet the mission's goals, the crew is divided 
into two teams, splitting the workload and working 
around the clock. 

According to NASA, STS-107 will be the last 
dedicated science mission for the shuttle program. The 
mission was originally intended to lift off in 2000, but 
other higher priority missions and maintenance concerns 
pushed the launch back. 

Brown, who is qualified as both a flight surgeon 
and as a naval aviator, offered this advice for those 

who may be interested becoming part of the space 
program . 

"I didn't plan my career for NASA. As it turns 
out, the things that I have done qualified me to be 
here, " he said. "If you get an idea in your head that 
there is something you really want to do, just go do 


Bremerton A Best Base for Community Spirit and Support 
By Judith Robertson, Naval Hospital Bremerton 

BREMERTON, Wash. - "Caring, for Life" is more than 
just a motto at Naval Hospital Bremerton; it is a way of 

It's this type of attitude and service that led to 
Bremerton's recognition as "Best Base" in the Navy for 
community spirit and support in the second annual Navy 
Times newspaper. The award was announced this week. 

"A healthy military is, of course, essential to 
preparedness , " said Navy Times ' citation announcing 
Naval Hospital Bremerton's selection. "It's just as 
important to build a healthy community. With outreach 
programs and activities that generate a spirit of 
camaraderie and family, Bremerton ' s programs connect its 
residents with each other and the surrounding 
communities . " 

Situated miles from, and in between, Naval Station 
Bremerton and Submarine Base Bangor, the hospital campus 
is on 49 acres overlooking Ostrich Bay near Bremerton. 
Since the enclosed hospital campus contains its own 
Bachelor's Enlisted Quarters, gym and dining facility, 
it qualifies as a separate base, one of nine naval 
hospitals in that category. 

According to Command Master Chief Richard Lopez, 
much of the credit for hospital ' s great community spirit 
is the enlisted community's attitude. Pride in their 
jobs, their command, and the Navy is clear as they 
volunteer throughout the community, he said. 

"All enlisted groups are involved. The Chief Petty 
Officers set the pace by assuming leadership positions 
and the rest follow. The CPO group was the first to 
volunteer to help build the children's playground in the 
community. The First Class Association, the Second 
Classes and the Junior Enlisted all volunteer in both 
hospital-sponsored events and community activities like 
patrolling at Whaling Days or helping at Seafair, " Lopez 

"At Naval Hospital Bremerton, we believe in 
caring, for life, " said Capt . Christine Hunter, the 
hospital ' s commanding officer . "It is our great 
privilege to be involved in our community, supporting 
people of all ages. 

"From car seat fittings to fleet outreach, and from 
advice on community disaster preparation to easing 

stress with our yoga classes, the staff constantly amaze 
me with their energy. I am very proud to accept this 
recognition on behalf of our fine military and civilian 
team. " 


Bethesda to Open Open Access Branch Clinic 

By Journalist 2nd Class Rebecca Horton, National Naval 

Medical Center Bethesda 

COLUMBIA, Md. - This spring, National Naval Medical 
Center Bethesda will open Branch Medical Clinic (BMC) 
Columbia. The clinic will be one of the first military 
clinics that will offer all open access appointments. 

"The idea behind open access is that both patients 
and providers benefit if everyone in the clinic is able 
to do today's work today, " said Lt. Cmdr. Sabrina 
Putney, Nurse Corps, the satellite clinic's project 
officer. "Today means today, not within 24 hours. If 
our patients call before 1 p.m., we will ensure that 
they are seen that day. " 

Patients who call after 1 p.m. will be asked to 
call back early the next morning to get the first 
available appointment . 

"We are very excited to be able to open this new 
clinic, " said Lt . Chris Gillette, Nurse Corps, the BMC 
Columbia service manager and assistant project officer. 
"We have been working since June (2002) to get 
everything ready, so we will be open to patients this 
spring, " said Gillette . 

The idea for the clinic began more than two years 
ago to make visiting the doctor more convenient for 
patients residing in the Columbia area. 

Putney, Gillette and Hospital Corpsman 2nd Class 
Linda Toryak, the clinic ' s leading chief petty officer, 
have devoted every day since September to setting up the 

"We are the architects of this entire project, " 
said Gillette . "We have done everything from finding 
the clinic spaces, designing the floor plan, picking out 
carpet and office equipment to working out the logistics 
of clinic staff and hours of operation. " 

Toryak said the clinic would focus on family 
practice, serving TRICARE eligible beneficiaries in the 
Columbia area. Services will include non-emergent acute 
care, school physicals, immunizations , routine 
gynecological services, minor surgical procedures, well 
baby exams, routine laboratory services, contract 
radiological services, and a full service pharmacy . 


Camp Lejeune Cuts Ribbon on Renovated OB/Gyn Clinic 
By Raymond Applewhite, Naval Hospital Lejeune 

LEJEUNE, N.C. - Naval Hospital Lejeune cut the 
ribbon on its gift to area women beneficiaries last 

month, opening its newly renovated obstetrics and 
gynecology clinic. 

The sparkling clinic not only received a face-lift 
with new carpeting, flooring, ceiling, comfortable 
chairs, and paint, but now also has state-of-the-art 
equipment . 

Before cutting the ribbon, Capt . Raymond Bozman, 
Medical Corps, the hospital 's commanding officer, 
praised the staff and everyone involved in the project 
for their hard work. Singled out in his remarks was Lt. 
(j.g.) Tyler Plain, Civil Engineer Corps, for heading 
up a project that was completed in "record time and for 
only $180, 000. " 

Plain planned work around provider's schedules to 
prevent interrupting patient services, which meant staff 
worked after hours and on weekends. 

"I could not be more proud of the crew, a 
remarkably talented group of men and women. They really 
know what it means to hustle, " said Plain. " 

According to Cmdr. Carolyn Howard, Nurse Corps, 
head of internal maternal infant department, the new 
spaces will greatly benefit beneficiaries . 

"We're improving access greatly. The spaces are not 
only prettier, but more importantly they're wider and 
more comfortable, " she said. 

Along with renovated spaces, the clinic is offering 
other enhancements. 

"We now have seven midwives , " said Lt . Amy 
Wootten, Nurse Corps, head of the OB/GYN clinic 
division. "The new family-centered care concept treats 
mom and baby as one unit from the initial prenatal visit 
to the six weeks postpartum care visit. " 

Additionally, the hospital now has a fulltime 
lactation consultant . 

Plain said other renovations underway include the 
pediatric clinic, which is about 40 percent complete ; 
the operating suite; and the quarterdeck. 


Whiting Field Tobacco Video A DoD Competitor 

By Kevin Gaddie, Naval Air Station Whiting Field, Fla. 

WHITING FIELD, Fla. - Branch Medical Clinic Whiting 
Field's tobacco cessation training video is being 
considered for a Department of Defense (DoD) visual 
production award. 

NAS Whiting Field's Branch Medical Clinic, with 
assistance from the Chief of Naval Education and 
Training's visual information department, joined forces 
and put together a 15-minute video titled "The Tobacco 
Cessation Program: If You Wait, It Could Be Too Late. " 

Lt. Mike Kohler, Nurse Corps, the clinic's health 
promotion coordinator, spearheaded the project . The 
video took about five months to shoot and many of the 
clinic staff is seen throughout the production. 

Distributed by Naval Education and Training 
Professional Development and Technology Center's 
(NETPDTC) Pensacola Regional Electronic Media Center, 
the video is now being used by all 12 of the hospital ' s 
branch medical clinics across four states in conjunction 
with their tobacco cessation programs. The Navy 
Environmental Health Center will incorporate it in 
smoking cessation programs Navy-wide. The American Lung 
Association and Sacred Heart Hospital in Pensacola also 
use it. 

The video was entered in the DoD Visual Production 
Awards Competition in the Training, Internal /Public 
Information and Documentary categories. The production 
awards are an initiative of the Assistant Secretary of 
Defense For Public Affairs. 

"I was very surprised and honored when I found out 
the video was being put in for a DoD award, " Kohler 

Kohler decided to make the video during a tobacco 
cessation course he was conducting at the clinic. 

"The Tobacco Cessation Program we use is a seven 
week course, " he said. "During the third week we have 
'Quit Day. ' One of the suggestions in the booklet is to 
bring in a panel of ex-smokers who have been off tobacco 
for more than six months. When I got here, I was having 
difficulty convening a panel for 'Quit Day, ' so I came 
up with the idea to make a video. " 

The subject of the video is Regina White, a long- 
time smoker and the widow of a Navy pilot who also 
smoked. White tells her touching story of her struggle 
to quit, the death of her husband as a result of 
smoking, and her own difficulties in coping with life- 
threatening diseases as a result of smoking. 


Every Day In Navy Medicine 

On any given day in Navy Medicine, patients are 
seen, prescriptions are filled, teeth are checked, 
babies are born. Here's a thumbnail sketch: 

- 36,937 outpatient visits 

- 833 inpatients 

- 54 babies born 

- 67, 235 prescriptions filled 

- 333 surgeries performed 

- 8, 682 dental seatings 

- Each dentist provides $1,400 worth of dental care 


First Person: It. Heidi Waugus, Medical Service Corps 
(Waugus is the operations officer in the medical 

services directorate, Naval Medical Center San Diego. 

These are her words on tackling the gender barrier in 

the rough-and-tumble world of football . ) 

All NFL (National Football League) rules apply, 

full pads and full tackle. You get hit and it can hurt. 
I play wide receiver for the San Diego Sunfire. It' s a 
semi-pro women ' s league. 

I like football because there's a lot of thinking 
involved. I like that this is a mental as well as a 
physical sport . You have to know what your assignment 
is on each play and how you're going to execute it. I'm 
fascinated by how all the pieces come together on game 
day. It takes a great deal of coordination by the 
coaches and synchronicity from the players. 

I enjoy the strategy involved. We have many 
offenses and defenses that we run. The game itself is 
very rewarding for me. I feel it opens up a whole new 
frontier for women. I find the great diversity of women 
on the team very interesting. We all learn a great deal 
from each person's culture. It opens up a whole new 
world I've never known. 

My personality is laid back, I'm quiet and 
reserved. I'd rather be home reading a book than going 
out to a club. But I can be a physical person. I have 
always loved football and wanted to play. I played on 
my high school team and was the first woman player to 
letter on an all male football team at Kings High School 
in Cincinnati, Ohio. Although teams we played against 
weren't thrilled with the idea of me playing, my 
teammates were very supportive of me. 

As a matter of fact, everyone has been very 
supportive of me. People from my command have attended 
and enjoyed the games. I've heard people say as I pass 
by, "Hey, that's the girl who plays football!" 

I'm very content with my choice to play this sport. 
It ' s been a great experience for me. Physically, 
mentally and spiritually , it' s a unique experience . 

Playing football can give Navy Medicine women a new 
opportunity to expand on physical readiness . It may 
even lead to newfound confidence and self-discovery . It 
has for me. 

- Interviewed by Aveline V. Allen, Bureau of 
Medicine & Surgery, Washington, DC 


New Web-Based Credentialing Monitors Provider Readiness 
From Department of Defense Public Affairs 

WASHINGTON - The Department of Defense announced 
this week a new medical provider repository that will 
allow medical contingency planners to identify military 
healthcare providers qualified in medical management of 
combat casualties . In addition to battle trauma, the 
repository will also identify those who are qualified in 
managing nuclear, biological or chemical casualties . 

The web-based Central Credentials Quality Assurance 
System (CCQAS) ensures that qualified providers are 
identified and ready to deploy in time of emergency, 
according to Capt. Ben Long, Medical Service Corps, 


information technology program office (RITPO) program 
manager for DoD. 

"This version of CCQAS goes well beyond its key 
role in supporting peacetime health care in the 
Department of Defense, " said Long. "We've worked hard 
to make this web-based version user-friendly with a 
solid reporting capability to get the right clinical 
provider to the right place at the right time in support 
of the medical readiness mission. " 

The new CCQAS maintains and tracks the credentials , 
readiness status, training, malpractice claims, and 
adverse privileging actions of providers at more than 
500 military treatment facilities and reserve centers. 
Other accessible information includes clinician 
demographics , education and training, and medical 
readiness requirements. 

Authorized users may access the system online from 
any place, at any time. It provides improved data 
quality and supplies easy-to-use, powerful standard and 
ad hoc reports. The new system consolidates 540 
separate databases of the previous client-server version 
and replaces six service systems. 

The Military Health System Information Technology 
Program Executive Office recently selected CCQAS as the 
recipient of the 2002 Team Award. The team effort, 
which employed a rapid and joint application development 
approach, resulted in an application with outstanding 
reviews from CCQAS users. Four out of five users 
surveyed indicated a high degree of satisfaction and 
acknowledged that the application significantly improves 
their productivity . 


Healthwatch: What To Do For Stomach Flu 

By Hospitalman Ariel Black and Lt . Tracey Torres, Nurse 

Corps, U.S. Naval Hospital Yokosuka 

YOKOSUKA, Japan - Got stomach flu? Here are some 
hints on what to do. 

Stomach flu, a viral infection that affects the 
stomach and small intestine, has symptoms ranging from 
fever, nausea, vomiting, fatigue, loss of appetite, and 
diarrhea. Their onset may be sudden or can occur over a 
number of hours. The good news is that the virus 
typically lasts for a short period - one to three days. 

The most important thing to do is to rest your body 
as well as your stomach. Initially, it is best to 
postpone eating and stick to drinking clear fluids. 

If vomiting appears as a symptom, it is best to 
have only small sips of clear liquids. Drinking too 
much may cause more vomiting. 

Your choice of liquids is important when suffering 
from stomach flu. If water is the only thing you can 
keep down, that ' s okay. However, if you are vomiting 

excessively you must replace the minerals, sodium and 
potassium that are lost . 

Sports drinks that contain vitamins and minerals in 
small amounts may help replenish lost nutrients. Avoid 
liquids that are acidic, such as orange juice, or 
liquids with caffeine. You may find a clear non- 
caffeine soda drink agreeable, but avoid colas and other 
dark sodas. Alcohol should be avoided as it increases 
dehydration and may aggravate symptoms. 

You may begin eating bland foods when you have 
stopped vomiting for several hours and are able to drink 
clear liquids without further upset . You will probably 
reach this phase 12-24 hours after the initial onset of 
symptoms. Start with a diet that consists of foods such 
as bananas, rice, applesauce, and toast before moving to 
other items as symptoms subside. 

If you have been vomiting an entire day or have had 
serious diarrhea more than three times during a bout 
with stomach flu, you should contact your health care 
provider. Most healthy adults will recover from stomach 
flu with home treatment, but the elderly, small 
children, and those who suffer from chronic illnesses 
are at a greater risk of dehydration and may need more 
time to recuperate. 

One of the best ways to prevent the spread of 
stomach flu is through frequent hand washing. Avoid 
sharing food or drinks with other people, as these 
practices can also spread the virus. 

Most importantly, don't try to be a hero by 
toughing it out at work when you have the flu. Take 
time off to rest and to help avoid spreading the virus 
and making others sick. Your coworkers will thank you 
for it! 


Got news? Navy & Marine Corps Medical News seeks 
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